Efficacy of Acupuncture for Postoperative Urinary Retention Following Radical Hysterectomy for Cervical Cancer
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Acupuncture, Sham acupuncture.
- Who it may be relevant to
- Registry conditions: Postoperative Urinary Retention (POUR). Basic parameters: from 18 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Evaluation of the Efficacy of Acupuncture Combined With Intermittent Catheterization for Postoperative Urinary Retention Due to Neurogenic Bladder Following Radical Hysterectomy for Cervical Cancer
Overview
The goal of this clinical trial is to learn if acupuncture works to treat postoperative urinary retention in patients who have undergone radical hysterectomy for cervical cancer. The main question it aims to answer is: Does acupuncture lower the volume of post-void residual in participants who need to use intermittent catheterization to assist with voiding after radical hysterectomy for cervical cancer? Researchers will compare acupuncture to sham acupuncture (non-penetrating needles: using placebo needles with a blunt tip that gives the sensation of skin penetration without actually piercing the skin) to see if acupuncture works to treat postoperative urinary retention. Participants will: 1. Receive acupuncture or sham acupuncture or tamsulosin for 2 weeks. 2. Visit the clinic before and after treatment for checkups and tests. 3. Keep a voiding diary and record the volume of post-void residual and the number of times they use intermittent catheterization.
Interventions
- Procedure Acupuncture
Participants receive acupuncture treatment in addition to intermittent catheterization and an α-blocker (e.g., tamsulosin). Acupoints selected: Zhongji (CV3), Yinlingquan (SP9), Sanyinjiao (SP6), Ciliao (BL32), Zhongliao (BL33), Pangguangshu (BL28), Zhibian (BL54). Treatment lasts for 2 weeks. - Procedure Sham acupuncture
Participants receive sham acupuncture treatment in addition to intermittent catheterization and an α-blocker (e.g., tamsulosin). The same acupoints as in the acupuncture group are selected. Sham acupuncture method: using a placebo needle device with a blunt tip that gives the sensation of skin penetration without actually piercing the skin. Treatment lasts for 2 weeks.
Primary outcome measures
- Post-void residual urine volume (PVR) [Time frame: pre-intervention，immediately after the intervention]
Secondary outcome measures (4)
- Voiding diary [Time frame: pre-intervention，immediately after the intervention]
- Maximum urinary flow rate (Qmax) [Time frame: pre-intervention，immediately after the intervention]
- First desire to void (FDV) [Time frame: pre-intervention，immediately after the intervention]
- International Consultation on Incontinence Questionnaire - Female Lower Urinary Tract Symptoms Long Form [Time frame: pre-intervention，immediately after the intervention]
Eligibility criteria
Inclusion criteria
- Patients with a pathologically confirmed diagnosis of cervical cancer who have undergone radical hysterectomy for cervical cancer.
- Patients who developed urinary retention after catheter removal during routine postoperative follow-up (2-4 weeks after surgery), with post-void residual urine volume measured by ultrasound exceeding 100 ml on two consecutive occasions.
- Aged ≥18 years.
- Patients who are informed and voluntarily sign the informed consent form.
- Patients with a Karnofsky Performance Status (KPS) score ≥70 .
Exclusion criteria
- Patients with a clear preoperative diagnosis of urinary retention or voiding dysfunction.
- Patients with urinary retention caused by conditions other than radical surgery for cervical cancer, such as spinal cord injury or other diseases.
- Patients with severe heart, lung, or kidney failure, or those with severe medical comorbidities.
- Patients with a severe bleeding tendency due to any cause.
- Patients with severe consciousness disorders or psychiatric/psychological conditions that preclude cooperation with treatment.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07711977 · FUOBGY-2025-200 · 2025YFC3508302